In Coding
Jun 20th, 2019
Social determinants of health (SDOH) will play a key role in quality reporting in the coming years. But until just recently physicians did not know the importance of capturing this data in their documentation, and vital diagnosis codes were not being reported. The American Medical Association (AMA) has created a free online education module to ...
Over my almost 30-year surgical coding career, the documentation for assistant surgeons consisted of only the name of the assistant surgeon in the operative note header. Most often there was no mention of the role of the assistant surgeon in the body of the operative note; it was assumed the assistant surgeon provided an extra ...
In Audit
May 14th, 2019
If you want to smooth reimbursement claims for durable medical equipment, CGS offers 28 documentation checklists that identify what must be included. Recently updated, these checklists include the following items and services: Enteral nutrition Glucose monitors and supplies Hospital beds and accessories Immunosuppressive drugs Large volume nebulizers and inhalation drugs Lower limb prostheses Manua...
In CMS
May 10th, 2019
Rules are changed for teaching physicians documenting Evaluation and Management (E/M) codes being reported to Medicare July 29, 2019. These changes are part of the Center for Medicare & Medicaid Services’ (CMS) revamp of E/M payments. This will affect medical coders and billers, especially those working in clinical documentation improvement. Changes Part of E/M Revamp ...
In CMS
Apr 26th, 2019
Insufficient documentation accounted for nearly 82 percent of improper payments for ostomy supplies in 2018, according to the Centers for Medicare & Medicaid Services (CMS). No documentation and medical necessity also are reasons for ostomy supply pay problems. Tips to Avoid Pay Problems CMS recommends the following to providers’ medical coders: Medical records must contain ...